Friday, July 31, 2015

PET scan and BRCA test results

 One step forward one step backwards
Is the name of the game again.

Great news came in today from my breast surgeon's office, my PET Scan was clear. NO cancer outside of the lymph node and breast cancers I have. That is such a relief hearing that update! It is about time we got some good news and in fact this was GREAT news!!!! Ahhhhh

I talked to my oncologist today and confirmed what protocol for chemo I will be starting with in a few weeks (around the 19th). It is Long and drawn out so I will leave that for another post. 

I will most likely be doing radiation so I await a referral to a radiological oncologist. 

I have a call into my only/gyn to get a referral to a gynecological oncologist so I can set a date to have my ovaries removed. 

Ovaries must be shut down and taken out because I did hear back from the geneticist that I am indeed positive for BRCA-2 gene. 

Yes, I inherited all of this from my paternal  side of the family. Now I know why I have Breast Cancer!!!! 

Deep Breath! 
Exhale! 

Ok, more later on the BRCA -2.

Off to rest this tired body. 

Wednesday, July 29, 2015

Pathology results brought some not so good news

My Breast Surgeon, Dr. L, called me yesterday with the pathology results from the right breast tissue and right lymph node testing. One lymph node does have cancer in it. So now we need to reevaluate our next step. 

I have to do a PET scan tomorrow at SLU (I need to go to SLU because there are no open PET scan appointments available at St. Luke's until next Tuesday). We need to do this scan to see if the cancer has metastasized (spread) outside of the lymph nodes into other parts of my body. Then we need to go back into surgery next week to take out the lymph nodes. I am also having issues with the skin around the left breast mastectomy incision. Some bad blood flow so some more skin needs to be excised. 
So with these latest findings it changes my stage of cancer to a Stage 2a grade III metastatic. Scary, I know, but let's get the show in the road and beat the crap out of this cancer. Chemo will start soon and then Radiation is now going to be factored in. We will also need to watch for lymphadema. I will work with a therapist to make sure I don't need extra therapy to keep the swelling down in the right arm. 

Ugh

I was not happy with these newest finding, but we will not let it keep us down!

Thank you all so much for the food, hugs and prayers! We are so blessed to have  you all supporting us through the rough days and helping us see the rays of sunshine each day. 

P.s. I forgot to mention that the plastic surgeon had to remove some of the filler liquid from my left breast expander since that skin is not healing fully. That was crazy watching that. Didn't hurt much! 

Tuesday, July 28, 2015

Oops I did it again....

Yes, I will make you sing that girls' godawful song all day now. Bwahahaha!

I over did it yesterday. The heat was too much for me to take at our daughters back to school pool bash. I came home drenched in sweat and felt nauseous. I quickly took my pain meds and took my butt to the recliner with my jug of ice water. I did cool down, ate one piece of pizza he ordered and then I just lay there and quietly cried. I wanted to be strong and go to see everyone at the pool bash, but I obviously underestimated the heat. I can't swim per doctors rules for recuperation so no cooling down in the pool. I had to say my goodbyes and went home to lick my pride wounds. 

Best part of the night was seeing Julia have so much fun

Sunday, July 26, 2015

Baby steps are great big steps!

Today's baby step was being able to go 7 hours between the need of taking my pain meds! Huge accomplishment! So many things to be thankful for! 

Friday, July 24, 2015

Recuperation at home and the wait begins

Yes, I left the hospital 23 hours after I had a double mastectomy to remove the DCIS /IDC breast cancer. How crazy is it that I was released so soon? I was in pain, yes, but agreed that recuperation at home would be better. So home I went. 

Today's pain level is about a 5. I am having pains where the two drains are and where they put the port on my upper left chest area. I hope it will pass soon. 

The breast surgeon was very pleased with surgery. She was about 90% sure my cancer did not pass into the lymph nodes, but pathology will have to confirm that. Hopefully the results will come back early next week. Those results will help oncology determine what route in chemo therapy I will take. I have a blood clotting disorder so the oncologist will get my chemo selected after results are in. If no lymph node invasion then chemo would last 12 weeks, if it did pass the lymph nodes, we might be looking at 20 weeks. 

I go back next Wednesday for the plastic surgeon follow up and to hopefully get the drains taken out. 

The oncology appointment is the 4th of August. 


Monday, July 20, 2015

Less is more or is it nesting before surgery

Thanks to my husband, mom and other family members for helping me purge some much needed stuff, ok- CRAP, out of this house! Yes, that is a van load and my mom took a load last week and I did a few days ago too. Is this Nesting? Surgery is set tomorrow at 10:30. Nerves have hit! Gah? 

Thursday, July 16, 2015

Huge thank you day!

Thanks to God for a great productive day. Woke up and felt relatively good. Again, I say to myself,  "I don't feel like I have cancer". I start cleaning. House cleaning. My mom shows up then my two nieces came over too. We had the kids and grandma focus on Julia's bedroom. I could not see the bed, the floor, dresser, etc... They knocked it OUT! 7 bags to goodwill . 

I dusted (aaaachhooooo), deep cleaned (including ceiling fan blades) and vacuumed kitchen, dining room, living room and bathroom. Monday I will finish the bedroom and Julia's room and hallway. 

It feels so good. Oh, I also had the front tires replaced on my van. Most needed as my original tires were so bald. Lots of traveling in the near future to Chesterfield so I needed to do this now. 

Trash taken out. Mom took 7 bags to goodwill and I have another 4 small boxes ready to go Monday. 


Tuesday, July 14, 2015


When will I snap?

Everyone keeps telling me I am upbeat. New colorful hair... Smiling.... Happy.... 

Well, I fear a break down. I fear it so I stave it off by avoiding the negative and depressing things, but I hold that thought in the back of my mind that I will break. Fear is there. Fear I will just drop to my knees and just lose it. I kind of prepare myself for this, but I want to be strong for my daughter, husband and family. 

I Will Never Give Up! NEVER


Friday, July 10, 2015

More tests more blood draws

Today is 14 July, I went to the geneticist

The Lump.... tiny, but HUGE

In early June 2015 I did my usual self breast exam and found a suspicious tiny hard young pea sized lump in my upper right breast. By my arm pit.

June 1, 2015 we have new health insurance thanks to my husbands new Job. Ahhh

I booked an OB/GYN appointment and could get in June 23 at 11 am. I also decided to just show up at the breast care center at St. Luke's to do my mammogram that morning. I got there and insisted they call my OB/GYN to get an approve ultrasound because I have dense fibrocystic breast tissue discovered in previous mammograms. They did get the approval and proceeded to send me for my mammo. I then got called back in for the ultrasound because they did find something on the mammo that was suspicious. I went in for the ultrasound and the tech found the lump after I pointed it out. Now after having been through 10 years of infertility and miscarriages, I could basically read my own ultrasounds on the screen. I knew what she was taking pictures of was not USUAL dense breast tissue. It was a mass. She measured it on screen, snapped about 6 or 7 shots and sent me on my way to get dressed. I was late for my OB/GYN by that time (not really late beause my doc is always late too). I went in to see the OB/GYN after. He did my physical breast exam and also felt the lump. He did say I could be the one amoung many that this turns out to be NOTHING just like the previous dense tissue I have had that ultrasound has determined to be just that, dense tissue. He said he would wait for the results from radiology and call me back soon, very soon!

He sent me on my way. I got a call from radiology later that day stating I needed to come in for a biopsy. June 25th. I went in that Thursday thinking the worst news. Yes, I had convinced myself that I was dealing with breast cancer. I got set up by the wonderful nurse (who I later found out she had gone through infertility and tried to adopt from China... small world). The ultrasound(US) tech came in to begin prepping me for the doctor to come in and be biopsied. She started the US and said "wait a minute, please point to the lump you found!" Oh boy.. I could see the screen. She had found two other lumps too! Sure enough, she found three. She left the room to get the doctor. They were not ready for my biopsy yet, but the doctor scanned me and found the three lumps. She scanned me for about 20 minutes taking measurements and coordinates. She left with the tech and compared that with my mammo and first US. Not good news, but hey, those other lumps could be nothing. So the biopsy started. Local numbing. OUCH.. that hurt. She had to stop to add more so I did not feel it. I watched on the US screen and they did three core needle biopsies on the one lump I found. I turned to the doctor and said I know you found three lumps, what about the other two? She said they won't biopsy them since I only came in for the one lump. Some of you know that when US techs do your scans, they are not suppose to talk to you about what they find on the screen. Sorry, but I know better! ha. Pathology will be done and it will take 24 -48 hours for them to get results. Of course this was a Thursday so you guessed it, I did not get a call until Monday. Ugh. I hated waiting, but I made the best of my time that weekend. The biopsy site was sore, but tolerable.

Then I got a call that Monday around 9:30 am. The nurse was telling me that in fact this was cancer and that it was two types of cancer. I wrote it all down. She gave me instructions to come meet with the breast care doctor (surgeon, Dr. Limpert), not the same doc that did the biopsy. I set up the appointment for that Thursday.

Jeff and I went in with open minds, but knowing this was cancer we knew I faced several possible scenarios of surgery and or chemo and or radiation.

I have a blood clotting disorder that will play a big roll in the type of chemo I receive.

So that next appointment came up, but they had me do an MRI before I went in. I showed up at the Deloge Medical building on 141 and had my MRI. I swear to you that a man designed that damn machine. It hurt to lay on it so bad. Hard plastic. Boobies in cut out holes while laying on my belly and chest. My rib were bruising just moments after laying down. LOL Grrrr. After about 40 minutes (or it felt like eternity) and many bong bong bing bing booms in my head, I was done.
We then proceeded to go eat lunch at the Mongolian BBQ on Olive. YUM. Why not . I enjoyed a great lunch with my hubby(who has been my rock through this all).
Dr. Limpert was next. We met with her. She was late coming in only to explain she had just spent about 20 minutes reviewing my MRI results. She said there were some interesting findings.
I not only had one lump I found and two more they found in the biopsy US, but yet another 5 lumps in my right breast. MRI did not show possible lymph nod involvement. Shuuuu. The left side looked ok too. Ahhhh. A relief. She went on to explain the two types of cancer I have ... DCIS and IDC. It started in the ducts of my breast (DCIS) and has spread outside the ducts into the breast tissue (IDC). Invasive. Yikes.
She looked at me and said "You just saved your own life". I was taken aback by that comment so I asked her to repeat what she said. She did and even said it for a third time for Jeff to hear. She said was very very lucky because at Stage 1A, very very few women can feel and find their own breast lumps. Good, see, the self boobie checks I do paid off! Grade of the tumor was III, which is very aggressive. So now she stopped and asked me about my family history. I have a very extensive paternal side of the family that includes Melanoma (my dad), Uncle currently battling breast cancer, several great Aunts that also had BC and or uterine cancer and my grandmother, who had colon cancer. She drew out a family chart showing my family history and then started talking about the possible risks of being positive for BRCA. Well, there is proven BRCA 2 with my decease Aunt Joan. Ugh. Double whammy.
In all recommendations I would need chemotherapy. I started to cry! Ugh. that word hit me hard. I saw what my dad had to go through and man it was rough! Then she said given my family history of cancer and the types of cancer and proven BRCA 2, I am most likely going to need not just my right breast removed, but a double mastectomy to avoid the possibility of cancer coming back in the left side too. I was floored. 

more later. Sorry to ramble.